1. Home
  2. Directory
  3. California
  4. Santa Cruz
  5. Dentist
  6. NPI Profile

DR. JONATHON WAGNER DDS
NPI 1063505477
Dentist - General Practice in Santa Cruz, CA

Active since September 30, 2006
1017 MISSION STREET, SANTA CRUZ, CA 95060(831) 426-3535(831) 454-0330 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathon Wagner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHON WAGNER DDS (NPI 1063505477) is an individual general practice provider in Santa Cruz, California, licensed in California (50395) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1063505477
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHON WAGNERCredential: DDS
Location Address1017 MISSION STREETSanta Cruz, CA 95060
Mailing Address1017 Mission StreetSanta Cruz, CA 95060 · (831) 426-3535 · Fax (831) 454-0330
Phone(831) 426-3535
Fax(831) 454-0330
Sole ProprietorNo
Enumeration DateSeptember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063505477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 50395
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1017 MISSION STREET, Santa Cruz, CA 95060
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD N ROBINSON DDS
Dentist (General Practice)
1017 MISSION STREET
SANTA CRUZ, CA 95060
Santa Cruz County (831) 426-3535
DR. MAX WILSON DDS
Dentist
1017 MISSION STREET
SANTA CRUZ, CA 95060
Santa Cruz County (831) 426-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathon Wagner's NPI number?

The NPI number for Jonathon Wagner is 1063505477. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Jonathon Wagner located?

Jonathon Wagner practices at 1017 Mission Street, Santa Cruz, CA 95060. The listed phone number is (831) 426-3535.

What is Jonathon Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jonathon Wagner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jonathon Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathon Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.